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General NPI Number Information
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NPI Number | 1114301868
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Entity Type | Organization
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Legal Business Name | SEWA ADULT DAY CARE LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 204 TYROLER AVE
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City | EDISON
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State | NJ
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Zip | 08820-3737
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Country | US
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Telephone | 732-133-1654
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Fax | 732-549-2277
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Provider Business Mailing Address
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Address Line | 204 TYROLER AVE
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City | EDISON
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State | NJ
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Zip | 08820
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Country | US
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Telephone | 732-331-6544
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | AJAY B PATEL
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Credential |
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Telephone | 732-331-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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